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가상현실 운동프로그램(Wii)이 알츠하이머 치매 노인의 인지기능에 미치는 영향

Effects of a Virtual Reality Exercise Program(Wii) on Cognitive Function of Elderly People with Alzheimer Dementia

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[PURPOSE] The purposes of this study were to evaluate the effectiveness of a 12-week virtual reality exercise program designed around the Nintendo Wii(Wii), in improving Alzheimer’s dementia patients’ memories. [METHODS] 30 Alzheimer dementia patients were randomly assigned in to the experimental group(n=15) and control group(n=15). All subjects performed a routine cognitive therapy and, besides, experimental group performed three 40-minute Wii-exercise intervention sessions per week, for 12 weeks. Before and after the Wii intervention, subjects’ cognitive functions were evaluated using the Cognitive Assessment Reference Diagnosis System (CARDS) and Mini-Mental State Examination-Korea (MMSE-K) test. Statistical significance was tested within and between each group before and after treatment by Wilcoxon signed rank test and Mann-Whitney U test. [RESULTS] Among the CARDS scores of the subjects who received Wii-exercise, the scores of the delayed 10-word list, delayed 10-object list, recognition 10-object, and recent memory significantly increased after intervention compared to those before intervention(p<.01). In addition, among the MMSE-K items, the orientation, registration, and recall showed significant increases in the experimental group(p<.05). The control group saw no statistically significant change. There was a statistically significant CARDS and MMSE-K score differences after intervention between the groups(p<.05). 76.9% of experimental group responded positively when asked if they would like to continue using the Wii-game in the future. [CONCLUSIONS] These suggest that a virtual reality exercise program using the Wii-game, is effective in delaying memory deterioration and improving cognitive function of elderly people with Alzheimer dementia

Abstract

[PURPOSE] The purposes of this study were to evaluate the effectiveness of a 12-week virtual reality exercise program designed around the Nintendo Wii(Wii), in improving Alzheimer’s dementia patients’ memories. [METHODS] 30 Alzheimer dementia patients were randomly assigned in to the experimental group(n=15) and control group(n=15). All subjects performed a routine cognitive therapy and, besides, experimental group performed three 40-minute Wii-exercise intervention sessions per week, for 12 weeks. Before and after the Wii intervention, subjects’ cognitive functions were evaluated using the Cognitive Assessment Reference Diagnosis System (CARDS) and Mini-Mental State Examination-Korea (MMSE-K) test. Statistical significance was tested within and between each group before and after treatment by Wilcoxon signed rank test and Mann-Whitney U test. [RESULTS] Among the CARDS scores of the subjects who received Wii-exercise, the scores of the delayed 10-word list, delayed 10-object list, recognition 10-object, and recent memory significantly increased after intervention compared to those before intervention(p<.01). In addition, among the MMSE-K items, the orientation, registration, and recall showed significant increases in the experimental group(p<.05). The control group saw no statistically significant change. There was a statistically significant CARDS and MMSE-K score differences after intervention between the groups(p<.05). 76.9% of experimental group responded positively when asked if they would like to continue using the Wii-game in the future. [CONCLUSIONS] These suggest that a virtual reality exercise program using the Wii-game, is effective in delaying memory deterioration and improving cognitive function of elderly people with Alzheimer dementia

참고문헌 (31)

  1. Akhondzadeh S, "Hippocampal synaptic plasticity and cognition", Journal of Clinical Pharmacy & Therapeutics, 24, pp.241~248 (1999)
  2. American College of Sports Medicine, "ACSM's Guidelines for Exercise Testing and Prescription", pp.174~177 (2014), Lippincott Williams and Wilkins
  3. Barnes D. E, "Computer based cognitive therapy for mild cognitive impairment: results of a pilot randomized, controlled trial", Alzheimer's Disease and Associated Disorders, 23(3), pp.205~210 (2009)
  4. Clark, R. A, "Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance", Gait & posture, 31, pp.307~310 (2010)
  5. Deutsch, J. E, "Use of a low cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy", Physical Therapy, 88(10), pp.1196~1207 (2008)
  6. Folstein, M. F, "Mini-mental state: A practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatric Research, 12, pp.189~198 (1975)
  7. Hertz, N. B, "Nintendo Wii rehabilitation (“Wii-hab”) provides benefits in Parkinson’s disease", Parkinsonism and Related Disorders, 19, pp.1039~1042 (2013)
  8. Hofmann, M, "Interactive computer-training as a therapeutic tool in Alzheimer's disease", Comprehensive Psychiatry, 44, pp.213~219 (2003)
  9. 홍지영, "고령친화적 원격 운동프로그램이 여성 노인의 근감소형비만 개선에 미치는 영향", 아시아 운동학 학술지, 18(3), pp.65~72 (2016), 대한운동학회[DOI]
  10. Hughes, T. F, "Independent and combined effects of cognitive and physical activity on incident MCI", Alzheimer’s &Dementia, 11, pp.1377~1384 (2015)
  11. 김주홍, "가상현실 게임을 이용한 훈련이 뇌졸중환자의 기능회복에 미치는 영향", 대한작업치료학회지, 19(3), pp.101~114 (2011), 대한작업치료학회
  12. Lange, B, "Development of an interactive game-based rehabilitation tool for dynamic balance training", Topics in Stroke Rehabilitation, 17(5), pp.345~352 (2010)
  13. Lautenschlager, N. T, "Physical activity and cognition in old age", Current Opinions in Psychiatry, 19(2), pp.190~193 (2006)
  14. 이근호, "가상현실 운동프로그램이 파킨슨병 환자의 자세불안정과 삶의 질에 미치는 효과", 아시아 운동학 학술지, 17(1), pp.49~61 (2015), 대한운동학회[DOI]
  15. McKhann, G. D. D, "Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA work group under the auspices of department of health and human services task force on Alzheimer’s disease", Neurology, 34, pp.939~944 (1984)
  16. Maclean, N, "Qualitative analysis of stroke patients'motivation for rehabilitation", British Medical Journal, 28, pp.1051~1054 (2000)
  17. Morris, J. C, "Clinical dementia rating: a reliable and valid diagnostic and staging measure for dementia of the Alzheimer type", International psychogeriatrics, 9, pp.173~176 (1997)
  18. Park, J. H, "Standardization of Korean Version of the Mini-Mental State Examination(MMSE-K) for Use in the Elderly", Journal of the Korean Neuropsychiatric Association, 28(1), pp.125~135 (1989)
  19. Park, J. H, "Standardization of Korean Version of the Mini-Mental State Examination(MMSE-K) for Use in the Elderly. Part Ⅱ. Diagnostic Validity", Journal of the Korean Neuropsychiatric Association, 28(3), pp.508~513 (1989)
  20. Ritchie, C. W, "Metaanalysis of randomized trials of the efficacy and safety of donepezil, galantamine, and rivastigmine for the treatment of Alzheimer’s disease", American Journal of Geriatric Psychiatry, 12, pp.358~368 (2004)
  21. Rose, F. D, "Training in virtual environments: transfer to real world tasks and equivalence to real task training", Ergonomics, 43(5), pp.494~511 (2000)
  22. Schecker M, "Cognitive interventions in mild Alzheimer’s disease: a therapy evaluation study on the intervention of medication and cognitive treatment", Dementia and Geriatric Cognitive Disorders Extra, 24, pp.301~311 (2013)
  23. Scherder, E. J, "Physical activity and executive functions in the elderly with mild cognitive impairment", Aging & Mental Health, 9(3), pp.272~280 (2005)
  24. Simons, J. S, "Perceptual and semantic contributions to episodic memory: evidence from semantic dementia and Alzheimer’s disease", Journal of Memory and Language, 47, pp.197~213 (2002)
  25. Steuer J, "Defining virtual reality: dimensions determining telepresence", Journal of Communication, 42(4), pp.73~93 (1992)
  26. Stevenson, I. H, "Bayesian integration and non-linear feedback control in a full-body motor task", PLoS Computational Biology, 5, pp.e1000629~ (2009)
  27. Suh, G. H, "Diagnostic Capability of the Cognitive Assessment and Reference Diagnoses System(CARDS)", Journal of Korean Geriatric Psychiatry, 6, pp.128~135 (2002)
  28. Sveistrup, H, "Motor rehabilitation using virtual reality", Journal of Neuroengineering and Rehabilitation, 1(1), pp.10~ (2004)
  29. Weiss P. L, "Video capture virtual reality as a flexible and effective rehabilitation tool", Journal of Neuroengineering and Rehabilitation, 1(1), pp.12~ (2004)
  30. Yaguez, L, "The effects on cognitive functions of a movement-based intervention in patients with Alzheimer’s type dementia: a pilot study", International Journal of Geriatric Psychiatry, 26(2), pp.173~181 (2011)
  31. 윤준웅, "Effect of 8 Weeks Nintendo Wii Fit", Sports Exercise on Body Composition and Object Control Function in Male High School Student with Intellectual Disability, 2011, pp.(46), 1099~1108[DOI]

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